Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Shumway Johnson, LPCC-S, LICDC-CS

Individual provider Professional Counselor · NPI 1821289034

Stacey Shumway Johnson, LPCC-S, LICDC-CS is a Mental Health Counselor in Portsmouth, Ohio. Qualified in 2007, 19 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Kentucky and Ohio.

Years since qualifying
19
Licensed in
KY, OH
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

310 Washington St
Portsmouth, OH 45662-3914
Phone: (844) 505-4500
Fax: (740) 353-8889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 57 Dora Ln, Greenup, KY 41144-1187 — (606) 473-7333

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.0600469-SUPV (OH)
Professional Counselor Taxonomy 101YP2500X · Licence 104053 (KY)

Record details

NPI number1821289034
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-S , LICDC-CS
Sole proprietorYes
NPI enumeratedAugust 5, 2007
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Portsmouth